Inpatient Coder Associate, Payment Integrity Clover Health Investments CorpInpatient Coder Associate, Payment IntegrityNY$80,000–$110,000 / yearSuccess in this role looks like: By the end of your initial 90-day period, you will have demonstrated a strong understanding of clinical coding practices and medical records review, while assisting our team in areas of DRG validation. We believe the healthcare system is broken, so we''ve created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
A&H Claims Specialist Sirius International Insurance Group Ltd (Inactive)A&H Claims SpecialistNew York, NY$110,000–$125,000 / yearThe Claims Specialist will interact frequently with brokers and clients, evaluate claim notices, and approve authorizations and financial transactions on behalf of SiriusPoint. In this capacity, you will handle claims emanating from the A&H Direct and Reinsurance books, including core MGA's and developing claim strategies to drive the best possible results.
Data Governance Lead ExlService Holdings IncData Governance LeadNY$120,000–$150,000 / yearExperience with data governance and data quality platforms such as Collibra, Ataccama, Informatica Axon/EDC, Alation, or similar tools for business glossary management, stewardship workflows, policy compliance, data quality monitoring, and governance KPI reporting. Define and implement data quality frameworks covering profiling, validation rules, completeness, accuracy, consistency, timeliness, uniqueness, exception management, issue tracking, root-cause analysis, and remediation workflows.
Senior Director, Data Engineering Starr CompaniesSenior Director, Data EngineeringNew York, NY$170,000–$225,000 / yearThe Senior Director, Data Engineering is a senior leadership role, responsible for driving the transformation and execution of Starr's enterprise data ecosystem in direct support of core insurance business functions-including underwriting, claims, risk, finance, and regulatory reporting. The Senior Director will optimize and enable critical finance and actuarial workflows-such as month-end close cycles and daily general ledger/reinsurance data processing-while safeguarding reliability and compliance for business operations.
Regional Risk Manager Tutor Perini CorpRegional Risk ManagerNew York, NY$125,000–$150,000 / yearFrom coast to coast, notable projects include The Purple Line (D Line) Extensions in Los Angeles, SR 99 Viaduct replacement tunnel in Seattle, East Side Access projects and the Hudson Yards Platform in New York, Central Subway Third Street Light Rail in San Francisco, and multiple airport expansions and bridge projects. DESCRIPTION: As a Regional Risk Manager at Tutor Perini Corporation., you will have the opportunity to: Manage the overall insurance program for assigned business units, including policy renewals, risk assessments, and program optimization to ensure proper coverage and cost control.
Staff Dentist LIBERTY Dental PlanStaff DentistStaten Island, NJ$150,000–$165,000 / yearYour work directly influences patient outcomes, supports providers, and strengthens the integrity of dental benefits across Commercial, Marketplace, Medicare Advantage, and Medicaid programs. In this role, your day is highly focused and structured around clinical review and collaboration: ~90% of your time reviewing prior authorizations and dental claims using internal systems (including AI-supported platforms).
CLX Senior Manager, Pet Lemonade IncCLX Senior Manager, PetNY$110,000–$135,000 / yearDevelop a strategic technical vision for Pet Claims handling growth and scale, focusing on accurate payments, delightful customer experiences, and optimized handling times. We're looking for a senior-level, customer centric leader and technical expert to manage our Pet Claims Experience (CLX) teams and vendor relationships.
Litigation Counsel Geico InsuranceLitigation CounselNew York City, NY$135,300–$235,750 / yearContribute to trial strategy and trial preparation, including evaluating case posture, advising on legal and business risk, coordinating with outside counsel, preparing witnesses, and supporting overall case strategy through trial. The ideal candidate will have 5-7 years of substantive litigation experience in a law firm or in-house legal department, including experience handling or managing bad faith and other extra-contractual allegations.
ISO Regulatory Reporting Analyst ExlService Holdings IncISO Regulatory Reporting AnalystNew Jersey, NJThis position requires strong insurance domain expertise, advanced data analysis capabilities, excellent stakeholder management skills, and the ability to identify and resolve complex reporting and data quality issues. Prepare, validate, and submit complex regulatory reports and data calls to various State Insurance Departments, regulatory bodies, and industry bureaus within established deadlines.
Medical Collections Specialist High End HiringMedical Collections SpecialistNew York, NY$28–$32 / hourWe are seeking an experienced Medical Collections Specialist to join our team and help manage insurance collections, claim follow-up, and revenue recovery from a variety of commercial insurance carriers, including BCBS and other out-of-network payers. If you are a motivated collections professional with a strong understanding of insurance reimbursement and a passion for helping healthcare practices succeed, we would love to hear from you.
Manager, Healthcare Data Management ExlService Holdings IncManager, Healthcare Data ManagementNY$75,100–$107,300 / yearStrong problem solving and analytical skills and the ability to "roll up your sleeves" and work to create timely solutions and resolutions, to validate, verify, communicate, and resolve application issues. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.
Epic HB & HB Claims Analyst Computer Task Group, IncEpic HB & HB Claims AnalystNYRemote$120,000–$130,000 / yearDuration: 2-Year Contract Location: Remote (Must work West Coast business hours) On-Call Requirement: Participation in scheduled on-call rotation required Position Summary We are seeking an experienced Epic HB Home Health Billing Analyst to support the ongoing optimization, maintenance, and enhancement of Epic revenue cycle workflows related to Home Health services. The ideal candidate will possess an active Epic Hospital Billing (HB) certification and demonstrate hands-on experience supporting Home Health billing, charge capture, claims processing, reimbursement, and revenue cycle operations within Epic.
Accounting Analyst, Reinsurance Finance Morristown, NJ Crum & Forster Holdings Corp.Accounting Analyst, Reinsurance Finance Morristown, NJMorristown, NJSalary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
NewSenior Associate Facets Claims Developer IPolaritySenior Associate Facets Claims DeveloperWhippany, New JerseyRemoteIPolarity LLC integrates expert industry knowledge, process and technology frameworks, strong partnerships, and a reliable work force to provide strategic solutions that generate sustainable results. We provide our clients in key industry verticals with focused expertise in IT Solution, Application Development, Application Maintenance, Testing services and Systems Integration.
Outpatient Auditor III ExlService Holdings IncOutpatient Auditor IIINYRemote$70,000–$90,000 / yearAs a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. Conduct audits across infusion therapy, outpatient surgeries, imaging, and interventional radiology, such as: Verifying correct APC assignment for chemotherapy and non-chemotherapy infusions, hydration services, and observation-related services.
Principal, Medical Economics Evergreen Nephrology LLCPrincipal, Medical EconomicsNY$135,000–$150,000 / yearThis role will help ensure the integrity of claims data flowing into enterprise datasets, enable more sophisticated economic and impact modeling, and connect cost insights with clinical and risk stratification efforts to support value-based care performance. Partner with data, actuarial, and analytics teams to validate healthcare claims data structures, ensure data is accurately represented in enterprise datasets, and resolve discrepancies affecting downstream reporting and analysis.
Senior Analyst, Audit and Compliance Analytics (Hybrid NY) HealthfirstSenior Analyst, Audit and Compliance Analytics (Hybrid NY)New York, NY$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Ancillary Services Network Account Manager I HealthfirstAncillary Services Network Account Manager INew York, NY$68,900–$99,620 / yearUnder the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the highest quality by focusing efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Create contracts in HF contract software and review credentialing documents submitted by Provider/facility via Universal Credentialing Data Source, The Council for Affordable Quality Healthcare (CAQH) or PDF application to ensure that all the required credentials are included and that valid documents for behavioral Providers and facilities are provided.
Loss Control and Risk Management Specialist BerkleyLoss Control and Risk Management SpecialistParsippany, New Jersey$125,000–$195,000 / yearThe company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes: Base Salary Range: $125,000 - $195,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. This individual will be instrumental in leveraging emerging technologies, delivering enhanced value to our insureds and broker partners, and strengthening collaboration across underwriting, loss control, and claims to drive improved loss performance.
Counsel, Litigation Welltower IncCounsel, LitigationNew York, NY$145,000–$195,000 / yearThrough our disciplined approach to capital allocation powered by our data science platform and superior operating results driven by the Welltower Business System, we aspire to deliver long-term compounding of per share growth and returns for our existing investors - our North Star. The Counsel position will partner with Legal and Asset Management teams to manage the company's litigation, pre-suit claims, and provide legal support for asset management and operational issues in the seniors housing operating communities.